Type of Registration
(Please choose
one) |
Residential
Neighbourhood Commercial |
Intend to Purchase this property
in (year) |
|
| Precinct |
|
| RESIDENTIAL |
NEIGHBOURHOOD COMMERCIAL |
| Type of Home
Registered For |
Condominium
Apartment
Townhouse
Bungalow
Semi Detached
Terrace House
Others
If others,
please specify :
|
Type of Commercial Premises
registered for:- |
Office Unit
Office Building
Retail Units
2 to 4 Storey Terrace Shop/Office
Others
If others,
please specify :
|
| Business to Conduct |
|
| PERSONAL DETAILS |
| Name |
|
| IC No/Passport No |
|
| Marital status |
|
| Address |
|
| City |
|
| Postcode |
|
| State |
|
| E-mail |
|
| House Tel No |
|
| Office Tel No |
|
| Fax No |
|
| Handphone No |
|
| Nationality |
|
| Age |
|
| Sex |
|
| Race |
If others,
please specify :
|
| Occupation |
|
| Consideration To Purchase |
|
| Monthly Household Income |
|
| Source of Financing |
Please specify
if others :
|
| OTHER PARTICULARS |
| How do you know about Putrajaya? |
|
| If others, please specify |
|
| |